Classifications

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  • C07—ORGANIC CHEMISTRY
  • C07D—HETEROCYCLIC COMPOUNDS
  • C07D311/00—Heterocyclic compounds containing six-membered rings having one oxygen atom as the only hetero atom, condensed with other rings
  • C07D311/02—Heterocyclic compounds containing six-membered rings having one oxygen atom as the only hetero atom, condensed with other rings ortho- or peri-condensed with carbocyclic rings or ring systems
  • C07D311/04—Benzo[b]pyrans, not hydrogenated in the carbocyclic ring
  • C07D311/22—Benzo[b]pyrans, not hydrogenated in the carbocyclic ring with oxygen or sulfur atoms directly attached in position 4
  • C07D311/26—Benzo[b]pyrans, not hydrogenated in the carbocyclic ring with oxygen or sulfur atoms directly attached in position 4 with aromatic rings attached in position 2 or 3
  • C07D311/28—Benzo[b]pyrans, not hydrogenated in the carbocyclic ring with oxygen or sulfur atoms directly attached in position 4 with aromatic rings attached in position 2 or 3 with aromatic rings attached in position 2 only
  • C07D311/30—Benzo[b]pyrans, not hydrogenated in the carbocyclic ring with oxygen or sulfur atoms directly attached in position 4 with aromatic rings attached in position 2 or 3 with aromatic rings attached in position 2 only not hydrogenated in the hetero ring, e.g. flavones
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P19/00—Drugs for skeletal disorders
  • A61P19/02—Drugs for skeletal disorders for joint disorders, e.g. arthritis, arthrosis
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P25/00—Drugs for disorders of the nervous system
  • A61P25/02—Drugs for disorders of the nervous system for peripheral neuropathies
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P25/00—Drugs for disorders of the nervous system
  • A61P25/04—Centrally acting analgesics, e.g. opioids
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P29/00—Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P35/00—Antineoplastic agents
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07D—HETEROCYCLIC COMPOUNDS
  • C07D401/00—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom
  • C07D401/02—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings
  • C07D401/04—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings directly linked by a ring-member-to-ring-member bond
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07D—HETEROCYCLIC COMPOUNDS
  • C07D405/00—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom
  • C07D405/02—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing two hetero rings
  • C07D405/10—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing two hetero rings linked by a carbon chain containing aromatic rings
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07D—HETEROCYCLIC COMPOUNDS
  • C07D407/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having oxygen atoms as the only ring hetero atoms, not provided for by group C07D405/00
  • C07D407/02—Heterocyclic compounds containing two or more hetero rings, at least one ring having oxygen atoms as the only ring hetero atoms, not provided for by group C07D405/00 containing two hetero rings
  • C07D407/04—Heterocyclic compounds containing two or more hetero rings, at least one ring having oxygen atoms as the only ring hetero atoms, not provided for by group C07D405/00 containing two hetero rings directly linked by a ring-member-to-ring-member bond

Definitions

• the present invention is directed to novel 2-aryl and 2-heteroaryl-4H-l-benzopyran-4-one- 6-amidino derivatives, to their pharmaceutically acceptable salts, to a process for their preparation, to their pharmaceutical compositions and to the use of such compounds and their pharmaceutical compositions for the treatment of arthritis, pain and cancer.
• Osteoarthritis is a progressive degenerative joint disease which affects a large part of the elderly population seriously impacting the quality of life. OA is characterised by pathological changes that occur in the articular cartilage, synovium and subchondral bone leading to pain and loss of articular function.
• Rheumatoid arthritis RA
• OA and RA are defined as a diseases affecting the joints, the primary feature is chronic pain. Accordingly, the most of the currently used pharmacological treatment for arthritis is largely confined to analgesics, steroidal and especially non-steroidal anti-inflammatory drugs (NSAIDs).
• Cartilage is constituted of chondrocytes and an extra-cellular matrix that consists of proteoglycans (mainly aggrecan), collagen and water.
• proteoglycans mainly aggrecan
• the interaction between proteoglycans and collagen provides unique structural and physiological properties for cartilage to function in weight bearing and joint motion.
• Cartilage proteoglycans consist of a protein core with glycosaminoglycan (GAG) side chains; GAG components absorb water and provide to the cartilage its characteristic resistance to mechanical stress and constitute a protective layer essential to the joint function.
• GAG glycosaminoglycan
• Healthy cartilage maintains a dynamic equilibrium between processes that produce and processes that degrade the matrix components; in pathological conditions this equilibrium is altered leading to the prevalence of the degenerative process, which causes matrix degradation, and hence cartilage roughening and fissuring which at the end could result in erosion of the subchondral bone and synovial inflammation.
• the large aggregating proteoglycan forms aggregates that bind hyaluronic acid (HA) and together with type II collagen is responsible for the bio mechanical properties of cartilage.
• aggrecan interacting in a complex network with HA and type II collagen, enables the tissue to bear load resisting to mechanical compression and endows the cartilage with those biomechanical characteristics necessary to joint functionality.
• Aggrecan protein consists of three globular regions termed Gl, G2 and G3 (PJ. Roughley, European Cells & Material, 2006, 12, 92-101). The Gl and G2 regions are separated by a short interglobular domain (IGD) while the G2 and G3 regions are separated by a long GAG attachment region.
• IGD interglobular domain
• the Gl domain is at the amino -terminus of the protein and through an ancillary protein it constitutes the binding region of aggrecan to HA.
• Aggrecan molecules are not isolated within the extra-cellular matrix but form aggregates composed of a central HA filament with up to 100 aggrecan molecules radiating from it.
• the GAG- attachment region of aggrecan provides the high anionic charge density needed for binding water and conferring to the cartilage the unique osmotic properties necessary to guarantee its functionality.
• Loss of cartilage integrity in arthritis is associated with impaired aggrecan integrity due to proteolytic cleavage of the protein.
• Two sites located in the IGD of aggrecan have been identified as the major targets of proteolytic aggrecan attack the Asn 341 -Phe 342 bond has been shown to be mainly cleaved by several Matrix Metalloproteases (MMPs) and the Glu 373 -Ala 374 bond which is the site of cleavage in pathological conditions as resulted by analysis of synovial fluids of patients (L. S. Lohmander et al, Arthritis & Rheum., 1993, 36, 1214-1222; J.D. Sandy, J.Clin. Invest. 1992, 89, 1412.
• MMPs Matrix Metalloproteases
• cytokines the cytokines: IL-I, TNF- ⁇ , IL-6, IL-8 stimulate the chondrocytes to produce an increased amount of matrix degrading enzymes, while IL-4 inhibits this process.
• cytokines the cytokines: IL-I, TNF- ⁇ , IL-6, IL-8 stimulate the chondrocytes to produce an increased amount of matrix degrading enzymes, while IL-4 inhibits this process.
• Two enzymes, Aggrecanase 1 and 2 which cleave aggrecan at Glu 373 -Ala 374 bond but not at the MMP site, have been identified and cloned.
• ADAMTS a Jisintegrin-like and metalloproteinase domain with rtirombospondin type 1 motifs
• ADAMTS-4 and ADAMTS-5 respectively.
• ADAMTS family represents a group of zinc metalloproteases belonging to repro- lysin subfamily (related to the snake venom toxin reprolysin; CG. Jones et al, Arthritis Res. Ther, 2005, 7, 160-69; CG. Jones et al., Biochem J., 2005, 386, 15-27).
• ADAMTS-4 and ADAMTS-5 are considered to be largely responsible for the cartilage aggrecan catabolism observed during the development of OA and RA, therefore inhibition of these enzymes may represent a therapeutic strategy for these diseases (S. S. Glasson, Current Drug Targets, 2007, 8,2, 367-376).
• synthetic MMPs inhibitors have been clinically investigated as a means to block tissue destruction in arthritis and have been proved unsuccessful, it should be pointed out that these inhibitors were directed against MMPs which cleaves mainly collagen and interact for a minor extent with aggrecan.
• aggrecanases which cleaves with high efficiency aggrecan within the IGD site, give rise to the removal of a large part of the protein from its binding site to HA thus leading to the breakage of that complex network of interactions fundamental to cartilage integrity and functions.
• ADAMTS-4 and ADAMTS-5 have been found over-expressed in tumour cell lines.
• a prerequisite for invasiveness in cancer is cell migration based on increased expression of proteases digesting the extra-cellular matrix
• the same process of extra-cellular matrix remodelling mediated by metalloproteases is also essential in angiogenesis, the process by which new blood vessels are formed from pre-existing vasculature.
• Angiogenesis has also been identified as a contributing factor in cancer where it is a rate-limiting step during tumour progression. Accordingly, in addition to arthritis ADAMT-4/-5 inhibitors could be useful therapeutic agents for the treatment of cancer.
• the 2-phenyl-4H-l-benzopyran-4-one nucleus is well known in nature, since flavonoids form a class of benzopyran-4-one derivatives which are ubiquitous in plants as secondary metabolites. Flavonoids such as flavones and flavonols are present in a great variety of food, and especially in fruits and vegetables. Among them, Quercetin [2-(3,4-dihydroxy- phenyl)-3,5,7-hydroxy-4H-l -benzopyran-4-one)] is the main flavonoid occurring in the food and is present at an average level of 10 mg/Kg (in onion its concentration is 300 mg/kg).
• Quercetin is a very effective antioxidant and appeared to be active in treating several disease such as cardiovascular, neurodegenerative and cancer. Further investigations highlighted how the proprieties of the 4H- 1 -benzopyran-4-one scaffold also known as chromenone, are not confined to Quercetin only but can be efficiently used as structural scaffolds for drug design.
• 6-amino-2-aryl-4H-l -benzopyran-4-one derivatives are known in literature: 6- amino-2-phenyl-4H-l -Benzopyran-4-one (RN: 4613-53-0) has been reported along with other 26 flavonoids as anti-proliferative agents acting on cell cycle (Haddad, A. Q.; Prostate Cancer and Prostatic Diseases (2006), 9(1), 68-76), antispasmodic and antihistaminic activity has been reported for another group of 2-aryl-6-amino-chromen-4-one derivatives (P.
• the present invention comprises a new class of compounds, 2-aryl and 2-heteroaryl-4H-l- benzopyran-4-one-6-amidino derivatives of formula (I) and pharmaceutically acceptable salts thereof, useful for the pharmacological treatment of diseases such as traumatic joint injuries, arthritis, typically osteoarthritis, rheumatoid arthritis and psoriatic arthritis, cancer including but not limited to brain tumours, in particular glioblastoma, colon cancer, multiple myeloma, breast, cervical, prostate and lung cancer.
• compounds of the invention are potent analgesics, independently upon the pain was inflammatory pain or neuropathic pain.
• the compounds of the invention are useful for the treatment of acute and chronic pain, such as: osteoarthritis and rheumatoid arthritis pain, postoperative pain, visceral pain, pain associated with cancer, trigeminal neuralgia, acute herpetic and post herpetic neuralgia, diabetic neuropathy acute and chronic pain, postoperative pain, muscular pain, pain resulting from various forms of trauma, visceral pain.
• acute and chronic pain such as: osteoarthritis and rheumatoid arthritis pain, postoperative pain, visceral pain, pain associated with cancer, trigeminal neuralgia, acute herpetic and post herpetic neuralgia, diabetic neuropathy acute and chronic pain, postoperative pain, muscular pain, pain resulting from various forms of trauma, visceral pain.
• X is independently selected between a (-CH-) group or a nitrogen atom (-N-).
• the aromatic group in position -2 of the 4H-l-benzopyran-4-one nucleus is a phenyl or a substituted phenyl, when X is nitrogen the aromatic group in position -2 of the 4H-l-benzopyran-4-one moiety is a 3-pyridyl group;
• Y is independently selected from an hydrogen atom (-H), an hydroxy group (-OH), an alkoxy group (-OR), where R is a Ci -C 4 linear or branched alkyl chain, or a - OCH 2 OCH 3 group (oxy-methoxymethyl group), or a group -0-CH 2 COOH (2-oxyacetate group) or a group -0-CH 2 COONH 2 , or a group -0-CH 2 -COOR where R is as defined above, or an alkyl group (-R), where R is as defined above; Ri and R 2 are independently substituents in the ortho, meta and para positions of the phenyl ring or are independently substituents of the positions: -2, -4, -5 and -6 of the pyridine ring.
• Ri and R 2 substituents are independently selected from: hydrogen (-H), fluorine (-F), chlorine (-Cl), bromine (-Br), C1-C4 linear or branched alkyl chain (-R), trifluoro- methyl (-CF 3 ), cyano (-CN), methansulfonyl (-SO 2 CH 3 ), methansulfonamido (- NHSO 2 CH 3 ), sulfonamido (-SO 2 NH 2 ), alkoxy (-OR) where R is as defined above, trifluoromethoxy (-OCF 3 ), benzyloxy (-OCH 2 Ph);
• Ri can be a penta-atomic heterocyclic group, preferably selected from: lH-1-imida- zo IyI, lH-2-methyl-l-imidazolyl, lH-4-methyl-l-imidazolyl, 1H-5 -methyl- 1-imidazo IyI, imidazol-2-yl, 1 -methyl- imidazol-2-yl, oxazol-2-yl, or a group methyl- lH-imidazol-1-yl (- CH 2 -lH-imidazol-lyl).
• the Ri group When the Ri group is a penta-atomic heterocycle as defined above, it can be in position -3 or -4 of the phenyl, or in position -2 and -6 of the pyridine moiety, R 2 is as defined above; when Ri and R 2 substituents are in position -3 and -4 of the phenyl, they can optionally form a 5 or 6 member heterocyclic ring condensed with the aryl moiety, said ring being preferably a dioxolane, a furane, a 2,3-dihydrofurane or a lH-3,4-tetrahydropyrane moiety; in these cases, the aromatic group in position -2 of the 4H-l-benzopyrane nucleus will be respectively a l,3-benzodiozol-5-yl group, a benzofuran-5-yl- or benzofuran-6-yl group, a 2,3-dihydrobenzofuran-5-yl or 2,3
• the compounds of Formula (I) may be used as the free base or as a pharmaceutically acceptable salt thereof, or as a solvate or hydrate form of such salt.
• the salts of the compounds of Formula (I) are pharmaceutically acceptable addition salts with inorganic and organic acids.
• inorganic salts are: hydrochloride, hydrobromide, hydrogensulphate and sulphate.
• organic salts are: maleate, fumarate, oxalate, methanesulphonate, succinate, ascorbate, tartrate.
• this invention provides methods for the preparation of compounds of Formula (I).
• compositions for compounds of Formula (I), useful for the treatment of arthritis, cancer and pain as discussed above.
• pharmaceutical composition drug product refers to any oral, parenteral or topical dosage form, suitable for the treatment of the above pathologies, that contains an effective amount of at least one of the active pharmaceutical ingredients (drug substances), compounds of Formula (I), its salts or solvates thereof, and a pharmaceutically acceptable carrier, excipients or diluents as defined below, for oral, parenteral or topic administration.
• a compound of formula (II) where Ri and/or R 2 are alkoxy groups can be transformed into a compound of formula (I) where Ri and/or R 2 are hydroxy groups, using techniques well known in the art, for example by treatment with aqueous hydrochloric or hydrobromic acid or aluminium tribromide or boron tribromide (J.Org. Chem. 72, 12, 4582-4585; 2007).
• a compound of formula (II) where Ri and/or R 2 are benzyloxy groups can be transformed into a compound of formula (I) where Ri and/or R 2 are hydroxy groups by catalytical hy- drogenation.
• a compound of formula (II) where R 3 and/or Y is a carboalkoxy containing group can be transformed into a compound of formula (I) where R3 and/or Y is a carboxy group.
• the alkoxy group is methoxy or ethoxy the transformation can be obtained by treatment with aqueous or alcoholic sodium or potassium hydroxide if the alkoxygroup is tertbutoxy its removal can be achieved by treatment with trifluoroacetic acid in a suitable solvent such as dichloromethane.
• a compound of formula (II) where R3 and/or Y is a carboalkoxy containing group can be transformed into a compound of formula (I) where R 3 and/or Y is a carboxamido group by reaction of the ester with ammonia or by ester hydrolysis as described above and then for example by treatment of the resulting acid with oxalyl chloride followed by treatment of the resulting acylchloride with ammonia.
• a compound of formula (II) can be obtained from a compound of formula (III):
• the reaction is usually carried out in a suitable solvent such as methanol or ethanol at a temperature that can vary from 25°C to the reflux temperature. Since the imidate is usually as hydrochloride salt an organic base such as triethylamine or N- methylmorpholine is used as well.
• a compound of formula (I) can be directly obtained from a compound of formula (III) using the above methods provided that Y, W, R 1 , R 2 , R3, R 4 are appropriate with the method used for the direct conversion of a compound of formula (III) into a compound of formula
• a compound of formula (III) can be obtained from a compound of formula (IV):
• a compound of formula (IV) where W is hydroxyl can be transformed into a compound of formula (IV) where W is a group -0-CH 2 COOH (2-oxyacetate group) or a group -0-CH 2 COONH 2 , or a group -0-CH 2 -COOR where R is as defined above, by treatment of the compound of formula (IV) with either ethyl bromoacetate or ter/butylbromoacetate and sodium or potas- sium carbonate in a suitable solvent such as DMF (J. Org. Chem., 71,18, 6863-6871; 2006).
• a suitable solvent such as DMF
• a compound of formula (IV) wherein Y is group -0-CH 2 COONH 2 can be obtained from a compound of formula (IV) wherein Y is group -0-CH 2 -COOR or a group -O- CH 2 COOH according to methods well know in the art.
• a compound of formula (IV) can be obtained from a compound of formula (V) by reaction with a compound of formula (VI) wherein substituents are as defined above and Z is selected from a carboxylate group (-COOH) or a group -CO-R5 where R5 is a Ci -C 4 linear or branched alkyl chain, a methoxymethyl group (CH 2 OCHs) or hydrogen (-H) :
• the condensation is carried out on stirring the reaction mixture at a temperature which can vary from 5° C to 50 0 C, for a time up to 12 hours (R.B. Palkar, Indian J. Chem., 2000, 39B, 141-144).
• the intermediate 2-hydroxychalcone can be isolated or not.
• the cooled reaction mixture is acidified up to precipitation of the 2-hydroxychalcone.
• isolation is not necessary and the formed 2-hydroxychalcone is directly converted into the 2-aryl-3 -hydroxy- 1 H-I- benzopyran 4-one of formula (VI) by Algar-Flynn-Oyamada reaction (Oyamada et. al., Bull. Chem. Soc. Japan, 1935, 10, 182).
• the formed chalcone is in situ oxidised adding at low temperature hydrogen peroxide (N.D. Meyer et al., J. Med. Chem., 1991, 34, 736-746).
• Ci 7 Hi 4 N 2 (VHCl; theory C:64.87 H:4.80 N:8.90; found C:64.41 H:5.10 N:8.64; IR (KBr): 3317, 2776, 1677, 1639, 1481, 1368 cm “1 ; 1 H-NMR (d 6 - DMSO) : 11.82 (s broad, IH), 9.72 (s broad, IH), 8.7 (s broad, IH), 8.15 (m, 2H); 7.98 (m, 2H); 7.77 (dd, IH); 7.60 (m, 3H); 7.13 (s, IH); 2.45 (s, 3H).
• Example 7 2- [(4-(imidazo 1- 1 -yP-phenyl] -3 -hydroxy-6-
• Example 8 2- [(3 -(imidazo 1- 1 -yD-phenyl] -3 -hydroxy-6- [( 1 -iminoethyDamino] -4H- 1 -ben- zopyran-4-one dihydrochloride
• Example 5d Prepared analogously to Example 5d, starting from 2-(4-hydroxyphenyl)-3-hydroxy-6- acetamido-4H-l -benzopyran-4-one. Yield: 84%; Rf (9/1 Chloroform/Methanol): 0.59, 1 H- NMR (de-DMSO) : 10.38 (s broad, IH), 8.40 (d, IH), 8.1-7.9 (m, 3H), 7.70 (d, IH); 7.55- 7.25 (m, 10H); 7.17 (d, 2H); 5.22 (s, 2H), 5.07 (s, 2H); 2.11 (s, 3H).
• Example 5b Prepared analogously to Example 5b), starting from 2-(6-methoxypyridin-3-yl)-3-benzyl- oxy-6-amino-4H-l-benzopyran-4-one, but the obtained hydrochloride was treated with aqueous NaOH, the product was extracted with ethyl acetate, the organic layer washed with water, dried, and evaporated to provide the titled product.
• Example 5b Prepared analogously to Example 5b), starting from 2-(6-hydroxypyridin-3-yl)-3-hydroxy- 6-[(l-iminoethyl)amino]-4H-l-benzopyran-4-one hydrochloride. Yield: 45%; m.p.: 284.5- 286.0 0 C. TLC (5/2/2 Buthanol/Acetic acid/Water) Rf :0.28; Elem. anal.
• OA and RA Arthritis
• Aggre- can has been shown to be the main molecular target in this pathology since early destruction of this cartilage component trigger a series of events which give rise to the loss of the articular functionality.
• Aggrecan molecule consists of several functional and structural domains among them the globular domain Gl seems to play a crucial role, since the Gl domain binds to hyaluronic acid polymers assuring a tight conjunction between the two macro molecules thus providing one of the main crossing points in the complex cartilage architecture.
• ADAMTS-4 and ADAMTS-5 have been found over-expressed in tumour cell lines and these enzymes can be involved in cancer cell migration and angiogenesis. Accordingly, inhibition of these enzymes could prevent cancer invasiveness and tumour progression and should provide therapeutic benefit to diseases such as: brain tumours, in particular glioblastoma, colon cancer, multiple myeloma, breast, cervical, prostate and lung cancer.
• the InviLISA Aggrecanase activity assay (Invitek GmbH, Berlin) was used to screen and characterise aggrecanase inhibitors. The assay was carried out in two steps, according to Will et al. (Will H, Dettloff M, Bendzko P, Svenshnikov P, A Quantitative Assay for aggrecanase Activity; 2005, Journal of Bio molecular Techniques, 16 (4), 459-472) .
• a recombinant fragment of human aggrecan interglobular domain (aggrecan-IGD; T 331 -G 458 ) is first digested with aggrecanase.
• ARGSVIL-peptide Proteolytic cleavage of the substrate releases an aggrecan peptide with the N-terminal sequence ARGSVIL (ARGSVIL-peptide), that was then quantified with two monoclonal anti-peptide antibodies (ELISA module). For precise calculation of product, ARGSVIL-peptide standard concentrations were run in parallel.
• ARGSVIL-peptide standard, proteolytic digestion of Aggrecan-IGD with standard aggrecanases and test samples were incubated in microtiter wells pre-coated with anti-ARGSVIL-neoepitope antibody.
• ARGSVIL-peptide is bound to the coated antibody, while other components are removed by washing and aspiration.
• the bound ARGSVIL-peptide was detected with a second peroxidase-labelled antibody. Any excess of the conjugate was removed by washing and aspiration.
• the amount of peroxidase bound to different wells was determined in reactions with peroxidase substrate TMB. The reactions are stopped by addition of sulphuric acid solution and absorbance is read at 450 nm in a microtiter plate spectrophotometer.
• OA and RA Arthritis in addition to lead to loss of joints function are associated with increasing chronic pain during disease progression. Even though arthritis is not the only pathology which can give rise to chronic pain, it is rather common and quite representative of this kind of pain.
• Chronic pain can be divided into inflammatory pain, a kind of pain more related to peripheral tissue damage/inflammation, and neuropathic pain.
• Neuropathic pain refers clinically to a group of chronic pain syndromes. Neuropathic pain conditions are the consequence of a number of diseases, for instance diabetes, cancer, amputees, multiple sclerosis.
• COX-2 inhibitors displayed a good efficacy in the treatment of inflammatory pain, but lacked effectiveness in the treatment of neuropathic pain, in addition for COX-2 inhibitors undesirable life threatening side-effects have been reported.
• the compounds of the invention are useful for the treatment of both acute and chronic pain, including but not limited to: postoperative pain, muscular pain, pain resulting from various forms of trauma, as well as chronic pain, neuropathic pain, cancer pain, pain caused by arthritis and visceral pain.
• Compounds of the invention are not effective in inhibiting cycloxygenase enzymes (COX- 1 and COX-2), since they have been proven not to be effective up to 10 "5 M concentration, in standard in vitro test either for COX-I or for COX-2 enzyme inhibition.
• the efficacy of the compounds of Formula (I) for the treatment of inflammatory and neuropathic pain has been determined using the following in vivo animal models.
• the interplantar injection of Zymosan- induced mechanical hyperalgesia was used as a model of inflammatory pain (Meller, Neuropharmacology, 1994, 33, 1471-1478).
• a male Sprague-Dawley or Wistar rat 200-250 g receives an interplantar injection of 3 mg/100 ⁇ l zymosan into one hind paw. A marked inflammation occurs in this hind paw.
• Drugs are administered orally for evaluation of efficacy, 30 min. before the inflammatory insult.
• the hyperalgesia induced by zymosan administration was evaluated using the Randall-Selitto method (Arch. Int. Pharmacodyn., 1957, 111, 409).
• the quantisation of the analgesic effect is achieved by an analgesimeter, which consists in applying to the inflamed paw an increasing weight (from 130-140 g up to 50Og).
• the difference in the mechanical pain threshold between the basal value (generally 230-250 g) and the one tolerated by the animals treated with the drug, determined 4 hours after the inflammatory challenge, is defined as mechanical hyperalgesia.
• ED50 is the dose of the administered compound able to increase the pain threshold by 50% in comparison with the group of control animals.
• the corresponding ED100 representing the dose able of reducing of 100% the pain threshold, can be calculated for those cases where there is a linear dose-response relationship.
• For each test compound at least three doses were used, with 8 animals per group.
• Compounds of the invention were tested at 10, 20 and 40 mg/Kg.
• Analgesic activity of the compounds of formula (I) can be further evaluated in an animal model of pain as the one induced by intra-plantar injection of capsaicin.
• Analgesic activity of the compounds of formula (I) can be further evaluated in an animal model of chronic inflammatory pain. Since clinically, inflammatory pain is most often associated with chronic conditions such as arthritis and cancer, where any inflammation or plastic neuronal change in the peripheral and central nervous system would have been occurring for long time, chronic animal paradigms in which the inflammatory insult has had time to induce centrally mediate changes, may result more predictive. Recently, it was shown how the use of Complete Freund's Adjuvant (CFA; Mycobacterium tuberculosis) as triggering agent for the inflammatory response along with the use of an appropriate protocol can give rise to a more suitable model. CFA-induced prolonged inflammation has been used extensively in studies of behavioural pain response (K.
• CFA Complete Freund's Adjuvant
• results obtained in this CFA model, for representative compounds of formula (I) are listed in comparison to Piroxicam, a recognised standard.
• Analgesic effect was assessed using the same equipment as before described for the Randall-Selitto model, results are reported as maximum percent effect (MPE) which represents the difference (%) in pain threshold between the animals treated with the drug and the controls that received only the vehicle (reduction of the nociceptive effect, due to paw loading with increasing weight, in comparison to controls which received CFA treatment). 100% protection means that the animal treated with the compound and CFA can tolerate the same stimulus (weight) as the control animal which has not received CFA treatment.
• MPE maximum percent effect
• MPE higher than 100% mean that the animal treated with the compound and CFA can tolerate stimuli (weight) higher than the control animals, which has not received CFA treatment (hypo algesia). From the MPE data at 0.5 hrs, the doses yielding a protection of 50% (ED50) and 100% (ED 100 ) have been calculated.
• the compounds of the invention demonstrated also in this test a pronounced analgesic effect, at doses of 10 and 30 mg/Kg, being the highest dose characterised with a remarkable hypoalgesic effect. At this dose range, the representative compounds are much more effective than Piroxicam, the reference standard.
• Painful diabetic neuropathy is one of the most common complications of insulin-dependent diabetes in man; in particular, diabetes can be associated with neuropathic pain which fails to be treated by classical analgesics.
• Streptozotocin (STZ)-induced diabetes in the rat has been increasingly used as a model of painful diabetic neuropathy to assess the efficacies of potential analgesic agents (C. Courteix, Pain 1993, 53, 81-8).
• a representative compound of the invention was tested for efficacy in reducing mechanical hyperalgesia associated with STZ-induced diabetes in the rat, according to the experimental model as described by the literature. Diabetes was produced with the injection of a single dose (75 mg/Kg i.p.) of STZ. In the following four weeks after the induction of diabetes the clinical symptoms (weight, body and skin temperature, motility and hyperglycemia) progressively developed by the animals, are strictly monitored.
• the scores obtained in diabetic rats to various pain stimuli were grater than those in normal rats, indicating hyperalgesia.
• the hyperalgesia induced by diabetes was evaluated using the Randall-Selitto method as above described, and quantitated using the analgesimeter. Also in this case, the difference in the mechanical pain threshold between the basal value (generally 230-250 g) and the one tolerated by the animals treated with the drug, is defined as mechanical hyperalgesia.
• the compound of the invention was administered i.p.
• MPE maximum percent effect
• Example 1 the representative compound of formula 1 demonstrated a high efficacy, especially at the doses of 10 and 30 mg/kg (i.e. protection higher than 100%), with ED50 and EDioo values lower than 10 mg/kg, as in the Zymosan and CFA tests. Conversely, all of the tested standards exhibited a much lower efficacy, if any, in this paradigm. In fact, ED50 value was calculable only for Tramadol and Amitriptyline while ED 100 was not calculable since no standards were able to completely reverse the hyperalgesic-like effect induced by STZ.
• Compounds of formula (I) can be used in the manufacture of a suitable medication for the therapeutic treatment of arthritis, cancer and pain. Accordingly, appropriate pharmaceutical composition of compounds of formula (I), their pharmaceutically acceptable salts and solvates thereof can be used for the treatment of diseases involving destruction of articular cartilage such as traumatic joint injuries, arthritis including osteoarthritis, rheumatoid arthritis and psoriatic arthritis. Appropriate pharmaceutical composition of compounds of formula (I), their pharmaceutically acceptable salts and solvates thereof can be used for treatment of diseases such as: brain tumours, in particular glioblastoma, colon cancer, multiple myeloma, breast, cervical, prostate and lung cancer.
• appropriate pharmaceutical composition of compounds of formula (I), their pharmaceutically acceptable salts and solvates thereof can be used for treatment of acute and chronic pain, including but not limited to inflammatory pain and associated hyperalgesia and allodynia, osteoarthritis pain, postoperative pain, visceral pain, pain associated with cancer, trigeminal neuralgia, acute herpetic and post herpetic neuralgia, neuropathic pain, diabetic neuropathy.
• the compounds of the present invention may be administered orally or parenterally, in a pharmacological effective amount.
• parenteral used herein includes intravenous, intramuscular, subcutaneous, intra-dermal and intra-articular.
• the daily oral dosage regimen will preferably be from about 0.1 to about 20 mg/Kg of total body weight. It will also be recognised by one of skill in the art that the optimal quantity and spacing of individual dosages of a compound of formula (I) will be determined by the nature and extent of the condition being treated.
• the preferred route of administration for the compounds of this invention is oral.
• the compounds of formula (I) can be formulated in a wide variety of oral dosage forms, such as capsules, tablets, pills, powders and dispersible granules.
• Suitable carriers can be one or more substances which may also act as diluents, flavouring agents, solubiliser, lubricants, suspending agents, binders.
• Suitable carriers include but are not limited to magnesium carbonate, magnesium stearate, talc, lactose, pectin, dextrin, starch, methylcellulose, sodium carboxymethyl cellulose, cocoa butter and the like.
• Techniques used to prepare oral formulations are the conventional mixing, granulation and compression or capsules filling.
• Other forms suitable for oral administration include emulsions, syrups and aqueous solutions.
• Emulsions can be prepared using emulsifying agents for example lecithin, propylene glycol or sorbitan monooleate.
• Aqueous solutions can be prepared by dissolving the active component in water and adding suitable colorants, flavours, stabilising agents.
• the compounds of the present invention may be formulated for parenteral administration (e.g., by injection or by continuous infusion) as a composition with suitable carriers including aqueous vehicles solutions (i.e.: saline, dextrose) or and/or oily emulsions.
• suitable carriers including aqueous vehicles solutions (i.e.: saline, dextrose) or and/or oily emulsions.
• the drug product may be presented in unit dose forms, for example in ampoules or pre-f ⁇ lled syringes.

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  • 2008-03-06 PT PT08717486T patent/PT2268628E/pt unknown
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